Individual
RONALD WALLACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
90 S BEDFORD RD, CAREMOUNT MEDICAL, PC, MOUNT KISCO, NY 10549-3412
(914) 241-1050
(914) 242-1420
Mailing address
110 S BEDFORD RD, CAREMOUNT MEDICAL, PC, MOUNT KISCO, NY 10549-3446
(914) 241-1050
(914) 242-1420
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
109503
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00331737
—
NY
Enumeration date
06/14/2006
Last updated
09/09/2016
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